163 jobs found in Plano, TX

You will be able to work from your home location within the United States PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to...

Job Description Job Description About Legent Health At Legent Health , our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience. Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering...

Type of Coding: Inpatient coders handling a spectrum of cases—transplants, vascular, cardiology, neuro, etc. Academic medical center/acute care hospital experience is required; candidates from smaller community hospitals are typically not successful. Experience: Minimum preferred: 3–5 years, ideally 5 years, specifically in academic or acute care settings. Certifications: Required: CCS, RHIT, or RHIA. Technical Requirements: Must use Epic EHR.

Scion Staffing has been engaged to conduct a search for multiple Remote Inpatient Facility Medical Coder positions for a healthcare services partner. This is a fully remote direct hire position supporting U.S.-based healthcare systems. POSITION OVERVIEW: This role supports inpatient coding operations for a mission-driven healthcare services organization focused on improving access, quality, and efficiency in patient care. The Inpatient Facility Medical Coder will review clinical documentation, apply appropriate coding guidelines, and ensure accurate reimbursement outcomes. This position offers the opportunity to collaborate with multidisciplinary teams in a supportive, remote-first environment. PERKS: Hourly pay range of $35–$40 per hour , based on experience and credentials Comprehensive medical, dental, and vision insurance options Fully remote role with flexible scheduling to support work-life balance Inclusive and collaborative culture that values diverse...

Job Description Job Description Medical Billing Company looking for Full Time in office Certified Medical Biller Role Description We are seeking a full-time Certified Medical Biller with pain management experience to join our team in Plano, TX. The Certified Medical Biller will be responsible for managing and resolving accounts receivable for medical billing claims. The Certified Medical Biller will communicate with patients, insurance payers, and healthcare providers to follow-up on unpaid claims, as well as review and appeal denied claims. Anesthesia billing/AR is a plus. Spanish speaking is a plus. Qualifications At least 3 years of experience in medical billing, accounts receivable, or revenue cycle management Excellent knowledge of CPT and ICD-10 coding, billing guidelines, and industry regulations Demonstrated proficiency in medical terminology, collections, and reimbursement processes Strong communication skills, including the ability to effectively...

A healthcare organization is seeking an experienced Quality Auditor to ensure compliance and accuracy of medical coding across various specialties. Responsibilities include conducting audits, preparing detailed reports, and providing education to coding teams. The ideal candidate will have at least 5 years of coding experience, strong analytical skills, and an active coding certification (CPC, COC, or CCS). This position offers a full-time remote working opportunity with competitive salary and benefits. #J-18808-Ljbffr

Description Medical City Plano RN Shift Supervisor Qualified candidates eligible for sign-on bonus of $15,000 Introduction Medical City Plano is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Medical Surgical ICU Shift Supervisor position and spend more time at the bedside with the patient. Benefits Medical City Plano, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident,...

A healthcare provider in Plano, Texas is seeking a medical billing clerk to manage patient accounts and prepare invoices. The ideal candidate will have at least 2 years of administrative experience in a medical setting and excellent communication skills to coordinate with patients and insurance companies. Responsibilities include inputting patient information, managing invoices, and liaising with medical aid companies for payment authorizations. Competitive salary offered. #J-18808-Ljbffr

Join to apply for the Medical Surgical ICU Shift Supervisor role at Medical City Healthcare 4 days ago Be among the first 25 applicants Description Medical City Plano RN Shift Supervisor Qualified candidates eligible for sign‑on bonus of $15,000 Introduction Medical City Plano is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient‑centered care? Submit your application for Medical Surgical ICU Shift Supervisor and spend more time at the bedside with the patient. Benefits Comprehensive medical coverage with many common services at no cost or low copay; prescription drug, behavioral health coverage, free telemedicine, free AirMed transportation. Additional options for dental, vision, life, disability, FSA, supplemental health protection plans, auto, home insurance, identity theft protection, legal counseling, long‑term care, moving assistance, pet insurance and more. Free counseling services...

Overview Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Medical ICU Supervisor Registered Nurse, Medical City Dallas. Job Summary And Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental...

A leading healthcare provider in Texas is looking for a Coding Specialist to join their Surgery Urology Department. This full-time hybrid remote role involves performing medical record coding while ensuring compliance with coding guidelines. The ideal candidate will have at least one year of coding experience and a strong knowledge of ICD-9 and CPT-4 coding systems. The position promotes a flexible work environment with a focus on collaboration and continuing education. A passion for precision and confidentiality is essential. #J-18808-Ljbffr

A leading oncology network seeks a Coding Specialist to join their team remotely. This role involves coding medical records per guidelines and ensuring accuracy in diagnosis documentation. Ideal candidates will have a high school diploma, at least one year of coding experience, and familiarity with ICD-9 and CPT-4 coding systems. The position includes flexible hours and a supportive work environment, with a focus on collaboration and leadership skills. #J-18808-Ljbffr

A global leader in medical technologies is seeking a Supervisor for Quality Control in Allen, Texas. This pivotal role involves ensuring that product documentation meets quality system requirements, training Quality Technicians, and investigating production quality issues. Candidates should have at least 5 years of experience in quality within the medical device sector, including supervisory experience. The ideal candidate brings attention to detail, strong problem-solving skills, and proficiency in quality management systems. #J-18808-Ljbffr

*Description* * Assign CPT, ICD-10, and HCPCS codes for anesthesiology procedures. * Analyze medical records for accurate code assignment. * Apply appropriate modifiers for precise coding. * Generate and submit claims promptly. * Verify patient insurance information and resolve discrepancies. * Address denied claims, process appeals as needed. * Collaborate with providers for clear documentation. * Stay updated on coding regulations and compliance requirements. * Liaise with insurance companies and patients for billing inquiries. * Provide coding guidance to team members. *Additional Skills & Qualifications* Additional Skills & Qualifications * Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) desired. * 3-5 years of anesthesiology coding and billing experience preferred * Proficient in coding and billing claims software. * Thorough understanding of compliance and regulatory requirements. *Experience Level* Intermediate Level *Job...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including collecting all...

Company Description Primary Internal Medicine Livingstone Medical Clinic - 2324 Old Denton rd #100 Carrollton, TX 75006 livingstonemedicalclinic@gmail.com ph. 972-245-0028 Role Description This is a part-time on-site role for a Medical Biller located in Carrollton, TX. The Medical Biller will be responsible for preparing and submitting medical bills for services provided by the clinic. Tasks include coding claims with ICD-10, handling denials, verifying insurance information, and interacting with Medicare and other insurance providers to ensure claim accuracy and reimbursement. Daily tasks also include maintaining patient billing records, resolving any billing discrepancies, and ensuring compliance with all regulatory requirements. Qualifications Knowledge of medical terminology and ICD-10 coding Experience in handling denials and claim reprocessing Expertise in insurance verification and interaction with Medicare Strong organizational and record-keeping skills Excellent...

Description Join an exceptional team committed to providing high-quality, compassionate patient care. At HCA Healthcare, we value every individual's unique contributions. Explore this exciting opportunity as a Medical ICU Supervisor Registered Nurse at our prestigious facility. Benefits HCA Healthcare offers a comprehensive rewards package to support your health, life, career, and retirement. Our offerings include: Comprehensive medical coverage with low or no copays, including prescription and behavioral health services, telemedicine, and AirMed medical transportation. Additional dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, and more. Free counseling services and resources for emotional, physical, and financial wellbeing. 401(k) Plan with a generous match...

JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, outpatient, and pro-fee claims, were coded and billed in accordance with nationally recognized coding guidelines, standards, regulations and regulatory requirements, as well as payor and billing guidelines. The responses generated by the Auditor may include system documentation of findings and / or a formal appeal letter. The Auditor will escalate trends to CRC leadership, Conifer Quality & Performance leadership and Conifer Compliance as warranted. The Auditor will perform analysis on clinical documentation, evidenced based criteria application outcome, physician documentation, physician advisor input and complete review of the medical record related to clinical denials. Assures appropriate action is taken within appeal time frames. Communicates identified denial trends...

Inpatient Coder Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Essential Duties and Responsibilities: Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including...

Job Summary JOB SUMMARY Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues. Participate in special audits and system administration as necessary. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Performs diagnosis data submissions to Client, Vendors and internal Stakeholders Develop monthly productivity and revenue projections Responsible for chart assignment oversight and monitoring accounts on hold Prepares data collection reports for leadership Monitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracy Reviews, analyzes and oversight of prebill/post bill reviews and pending accounts...

JOB SUMMARY This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Performs claim edit...

Job Summary JOB SUMMARY Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC)...

JOB SUMMARY Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses...

Job Summary Job Summary – Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff and/or hospital staff to address documentation, coding, and reimbursement issues. Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues. Participate in special audits and system administration as necessary. Essential Duties And Responsibilities Performs diagnosis data submissions to Client, Vendors and internal Stakeholders Develop monthly productivity and revenue projections Responsible for chart assignment oversight and monitoring accounts on hold Monitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracy Reviews, analyzes and oversight of prebill/post bill reviews and pending accounts Works to resolve workflow, systems and complex matters related to coding Knowledge, Skills, Abilities To perform this...